MARY LEE APRN
NPI 1790396828
Nurse Practitioner - Family in Hopkinsville, KY

Q: What is Mary Lee's NPI number?

The NPI number for Mary Lee is 1790396828. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Q: What is Mary Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Lee was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 12, 2020PECOS EnrolledAccepts Medicare Assignment

1739 CANTON ST, HOPKINSVILLE, KY 42240(270) 881-1411(270) 886-6005 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Lee Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LEE APRN (NPI 1790396828) is an individual family provider in Hopkinsville, Kentucky, licensed in Kentucky (3014765) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790396828

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY LEECredential: APRN

Location Address1739 CANTON STHopkinsville, KY 42240-1991

Mailing Address1739 Canton StHopkinsville, KY 42240-1991 · (270) 881-1411 · Fax (270) 886-6008

Phone(270) 881-1411

Fax(270) 886-6005

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 12, 2020

NPPES CertifiedAugust 12, 2020

✔ NPI 1790396828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3014765

1739 CANTON ST, Hopkinsville, KY 42240

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Lee Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638599657

PECOS Enrollment IDI20201013002487

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180051

Location320 West 18th StreetHopkinsville, KY 42240 · Christian County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$5.17 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$84.10 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$32.42 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier33 claims33 services$23.05 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers26 claims27 services$183.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANJAY M CHAVDA MD

Internal Medicine (Pulmonary Disease)